Individual
IAN A STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4626 WILLOW RD, SUITE 200, PLEASANTON, CA 94588-8517
(925) 463-0470
(925) 463-0473
Mailing address
4626 WILLOW RD, SUITE 200, PLEASANTON, CA 94588-8517
(925) 463-0470
(925) 463-0473
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A89303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2106
MEDICARE RAILROAD
CA
Enumeration date
04/11/2007
Last updated
02/27/2025
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